Ikeda, Martin

Ikeda, Martin is an sole proprietor health care provider with primary practice located at 1860 Nw 118Th St Suite 100, Clive IA 50325-8278. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ikeda, Martin can be contacted via phone (515) 778-4378.

Contact Information

Primary practice address
1860 Nw 118Th St Suite 100 Clive IA 50325-8278
Phone: (515) 778-4378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00808 Iowa
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-13506

Profile Details

NPI number 1386982254
LBN Legal business name Ikeda, Martin
Credentials PH. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2013
Last updated Jul 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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